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40
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Text
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URL Address
<a href="http://doi.org/10.1016/j.jemermed.2013.08.089" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.jemermed.2013.08.089</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
734-740
Issue
5
Volume
46
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Locate full-text within NEOMED Library's e-journal collections
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
DOOR-TO-BALLOON TIMES FROM FREESTANDING EMERGENCY DEPARTMENTS MEET ST-SEGMENT ELEVATION MYOCARDIAL INFARCTION REPERFUSION GUIDELINES
Publisher
An entity responsible for making the resource available
Journal of Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2014
2014-05
Subject
The topic of the resource
care; Emergency Medicine; freestanding emergency department; global registry; hospital; infarction; interhospital transfer; mortality; percutaneous coronary intervention; perspective; primary angioplasty; randomized-trials; ST-segment elevation myocardial; system; united-states
Creator
An entity primarily responsible for making the resource
Simon E L; Griffin P; Medepalli K; Griffin G; Williams C J; Hewit M; Lloyd T S
Description
An account of the resource
Background: Freestanding emergency departments (FEDs) introduce a challenge to physicians who care for the patient with an ST-segment elevation myocardial infarction (STEMI) because treatment is highly time dependent. FEDs have no percutaneous coronary intervention (PCI) capabilities, which necessitates transfer to a PCI-capable facility or fibrinolysis. Study Objective: Our aim was to determine the proportion of STEMI patients who arrived to an FED and were subsequently transferred for PCI and met the door-to-balloon reperfusion guidelines of 90 min. Methods: This was a dual-center retrospective cohort review of all patients 18 years and older who were diagnosed with an STEMI and presented to the main hospital-affiliated FEDs. Electronic medical records and emergency medical services documentation were reviewed for all cases since the opening of the FEDs in July 2007 and August 2009, respectively. Key time points were abstracted and statistical evaluation was performed using Fisher's exact test. Results: A total of 47 patients met inclusion criteria. Median door-to-transport time was 34 min (inter-quartile range [IQR] 15 min). Median transport time from the FEDs to the main hospital catheterization laboratory was 21 min (IQR 5 min). Median arrival at the catheterization laboratory-to-balloon time was 25 min (IQR 13 min). Median total door-to-balloon time was 83 min (IQR 10.5 min), with 78.7% meeting the American Heart Association's recommended guidelines of <= 90 min. Conclusion: STEMI patients initially seen at two FEDs achieved door-to-balloon time goals of < 90 min. (C) 2014 Elsevier Inc.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.jemermed.2013.08.089" target="_blank" rel="noreferrer noopener">10.1016/j.jemermed.2013.08.089</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article
2014
care
Emergency Medicine
Freestanding emergency department
global registry
Griffin G
Griffin P
Hewit M
Hospital
Infarction
interhospital transfer
Journal Article
Journal of Emergency Medicine
Lloyd T S
Medepalli K
Mortality
percutaneous coronary intervention
perspective
primary angioplasty
randomized-trials
Simon E L
ST-segment elevation myocardial
system
united-states
Williams C J
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.ajem.2021.06.051" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.ajem.2021.06.051</a>
ISSN
1532-8171 0735-6757
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Locate full-text within NEOMED Library's e-journal collections
<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.1016/j.ajem.2021.06.051" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1016/j.ajem.2021.06.051</a>
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Update Year & Number
July 2021 List
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Emergency Medicine
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Myocarditis after BNT162b2 vaccination in a healthy male.
Publisher
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The American Journal Of Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
2021-06-29
Subject
The topic of the resource
COVID-19; Myocarditis; Vaccination
Creator
An entity primarily responsible for making the resource
Watkins K; Griffin G; Septaric K; Simon EL
Description
An account of the resource
Myocarditis following mRNA COVID-19 vaccination has recently been reported to health authorities in the United States and other countries. Cases predominately occur in young adult males within four days following the second dose of either the Moderna (mRNA-1273) or Pfizer-BioNTech (BNT162b2) vaccines. Although the number of cases reported have been small in comparison with the large number of people vaccinated, myocarditis may be a rare adverse reaction to the COVID-19 vaccination that is now only becoming apparent due to the widespread use of the vaccine. In this article, we present a case of a 20-year-old male with no prior medical history who presented to the emergency department (ED) with chest pain. He had received the BNT162b2 vaccine two days prior to his presentation to the ED. The patient had an elevated troponin at 89 ng/L which increased on repeat examination. His electrocardiogram showed diffuse concave ST segment elevations and a later MRI confirmed the diagnosis of myocarditis. Based on these findings, the patient was diagnosed with myocarditis. The patient had a previous infection with SARS-CoV-2 approximately two months prior to the onset of his symptoms, but since he had fully recovered before the time of his presentation to the ED, it is unlikely that the infection caused the myocarditis. To our knowledge, this is the first published case of myocarditis following BNT162b3 vaccination.
Identifier
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<a href="http://doi.org/10.1016/j.ajem.2021.06.051" target="_blank" rel="noreferrer noopener">10.1016/j.ajem.2021.06.051</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Format
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journalArticle
2021
COVID-19
Department of Emergency Medicine
Griffin G
journalArticle
July 2021 List
Myocarditis
NEOMED College of Medicine
Septaric K
Simon EL
The American journal of emergency medicine
vaccination
Watkins K